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An Outpatient, Ambulant-Design, Controlled Human Infection Model Using Escalating Doses of Salmonella Typhi Challenge Delivered in Sodium Bicarbonate Solution
Author(s) -
Claire S. Waddington,
Thomas C. Darton,
Claire Jones,
Kathryn Haworth,
Anna L. Peters,
Tessa M. John,
Ben Thompson,
Simon Kerridge,
Robert A. Kingsley,
Liqing Zhou,
Kathryn E. Holt,
LyMee Yu,
Stephen Lockhart,
Jeremy Farrar,
Marcelo B. Sztein,
Gordon Dougan,
Brian Angus,
Myron M. Levine,
Andrew J. Pollard
Publication year - 2014
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/ciu078
Subject(s) - medicine , sodium bicarbonate , salmonella typhi , salmonella , outpatient clinic , bacteria , genetics , biology , gene , biochemistry , chemistry , escherichia coli
Typhoid fever is a major global health problem, the control of which is hindered by lack of a suitable animal model in which to study Salmonella Typhi infection. Until 1974, a human challenge model advanced understanding of typhoid and was used in vaccine development. We set out to establish a new human challenge model and ascertain the S. Typhi (Quailes strain) inoculum required for an attack rate of 60%-75% in typhoid-naive volunteers when ingested with sodium bicarbonate solution.

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